Basic Information
| Provider Information | |||||||||
| NPI: | 1386055861 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STERNITZKY | ||||||||
| FirstName: | EMILY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2805 S WITTMAN AVE | ||||||||
| Address2: | |||||||||
| City: | MARSHFIELD | ||||||||
| State: | WI | ||||||||
| PostalCode: | 544495206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6127507384 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7517 WEST COLD SRING ROAD | ||||||||
| Address2: | GREENFIELD REHABILITATION AGENCY | ||||||||
| City: | GREENFIELD | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532292814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4143276603 | ||||||||
| FaxNumber: | 4143275411 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2014 | ||||||||
| LastUpdateDate: | 09/15/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.